Giant Aneurysm of Left Anterior Descending Coronary Artery Treated by Surgical Off-Pump Therapy

Abstract

Coronary artery aneurysms may predispose to acute thrombosis, embolisation and myocardial ischaemia or rupture with subsequent tamponade and/or sudden death. The optimal therapy for patients with coronary artery aneurysm is unknown, and controversy persists regarding the use of medical or surgical modalities. There is no doubt that surgical therapy is reserved for cases with large aneurysms or with myocardial ischaemia due to significant associated coronary artery stenoses. We discuss here the surgical management of a case with coronary artery aneurysm and concomitant coronary artery disease. Although the beating heart technique of myocardial revascularisation and repair of coronary artery aneurysm without cardiopulmonary bypass is not suitable for all patients, it should be considered for those high-risk patients who have impaired left ventricular function or who are at high risk for pulmonary or neurological complications.

Histopathologic Characteristics of a Coronary-pulmonary Artery Fistula with a Coronary Artery Aneurysm

“…8) The causes of a coronary aneurysm concomitant with coronary artery fistulas are considered to be atherosclerotic, traumatic, and mycotic. 9) In our case, an atheromatous plaque was not found in either the anomalous coronary artery or the aneurysm. There was no evidence of bacterial or fungal infection in the aneurysmal wall.…”

Dense Smoke in the Operating Room: Epivascular Ultrasonography in a Large Right Coronary Artery Aneurysm

“…Exclusion and ligation of a coronary artery aneurysm can be safely performed without the use of cardiopulmonary bypass. 3,4 EPIVASCULAR ULTRASONOGRAPHY IN A CORONARY ANEURYSM…”

“…Therefore, the information provided by epivascular ultrasonography facilitated intraoperative planning and safe completion of the off‐pump approach. Exclusion and ligation of a coronary artery aneurysm can be safely performed without the use of cardiopulmonary bypass 3,4 …”